Active NPI
William J Davis, RPH
- Pharmacist
- Wilton Manors, FL
National Provider Identifier
1831479484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS23408
- Practice address
- 2540 NE 15TH Ave
Wilton Manors, FL 33305-1310 - Phone
- (954) 390-0444
- NPI assigned
- Aug 26, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS23408 | FL | Primary |
| Pharmacist | 183500000X | 9539 | KY |
Addresses
Primary practice location
2540 NE 15TH Ave
Wilton Manors, FL 33305-1310
Mailing address
2540 NE 15TH Ave
Wilton Manors, FL 33305-1310
Phone (954) 390-0444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS23408 | FL | MD | Pharmacist |
| 9539 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1831479484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 NE 15TH AVE",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051310",
"telephone_number": "954-390-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 NE 15TH AVE",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051310",
"telephone_number": "954-390-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-26",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS23408",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "9539",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.